20th International Diatom Symposium 2008
7-13 September 2008, Dubrovnik, Croatia

REGISTRATION   FORM

Please complete and return to: ATLAS Travel Agency; P.O. Box 27;  10000 Zagreb, Croatia
Phone: ++385-1-4698-007	◘	Fax: ++385-1-4698-053
E-mail: ranko.filipovic@atlas.hr		◘	Web: www.imp-du.com/ids2008  &  www.atlas.hr

The deadline is 31 July 2008.   A separate registration form must be used for each participant!

Section A. Personal Information
Title	 Prof.      Dr.      Mr.      Mrs.      Ms.      Other	
Family name	                                                                      	Name		
Institution		
Address                      	                                                         	
City,  State,  Zip Code	                                                                       	Country		
Phone	                                                                       	Fax		
E-mail		
Accompanying Person 	 Mr.  Mrs.  Ms.   Family name:                                             Name:      	
	 Mr.  Mrs.  Ms.   Family name:                                             Name :	

Section B. Registration Fee
Category	Before May 31 2008	After May 31 2008	
Full delegate, member of ISDR	300 EUR	370 EUR	
Full delegate, non-member of ISDR	350 EUR	420 EUR	
Student*, member of ISDR	200 EUR	270 EUR	
Student*, non member of ISDR	250 EUR	320 EUR	
Accompanying Person	250 EUR	320 EUR	
Delegates and students Fee includes: access to the scientific meetings and commercial exhibition area, abstract and programme volumes, 8 coffee breaks, 4 lunches, welcome cocktail reception, city tour, 3 dinners.
Accompanying Person Fee includes: 4 lunches, welcome cocktail reception, city tour, 3 dinners.
* Enclose a letter from the supervisor that certifies the student’s status.

Section C. Accommodation
Hotel	Room / Service	Room rate per night	Total nights required	
Grand Hotel PARK****
(Symposium Venue)	Bed, breakfast and tax in single room	EUR 125,00 per night		
	Bed, breakfast and tax in double room	EUR 166,00 per night		

KOMPAS Hotel***	Bed, breakfast and tax in single room	EUR 118,50 per night		
	Bed, breakfast and tax in double room	EUR 137,00 per night		

PERLA Hotel***	Bed, breakfast and tax in single room	EUR 102,00 per night	FULL	
	Bed, breakfast and tax in double room	EUR 134,00 per night	FULL	

ADRIATIC Hotel**	Bed, breakfast and tax in single room	EUR 82,00 per night	FULL	
	Bed, breakfast and tax in double room	EUR 94,00 per night	FULL	

Check-in date:		Check-out date:		

Above accommodation rates include breakfast & VAT. Total accommodation should be paid at the hotel prior to check-out. A credit card will be required only as a guarantee of your booking.
If booking a double room, please provide other person's full name_____________________.
For cheaper student accommodation see Accommodation menu in the Second Circular.

Section D. Optional services
Mid-Symposium Excursions (min 30 pax)	Number of people	Price – based on minimum 30 people	Total	
1.	The Neretva River Delta
2.	Bay of Mali Ston and Arboretum in Trsteno
3.	Republic of Montenegro		EUR 50,00		
		EUR 50,00		
		EUR 50,00		
Post-Symposium Tours	Number of people	Price – based on minimum number:	Total	
4. UNESCO Heritage & National Parks		20-24 people: EUR 575,00 per person*
25-30 people: EUR 510,00 per person*		
5. Roman Heritage of Dalmatia		20-24 people: EUR 575,00 per person*
25-30 people: EUR 510,00 per person*		
* The rates shown apply for a person in double room. Single room supplement is EUR 100,00 per person for each tour.

TOTAL to be paid (Registration fee + Other services)	EUR	

Section F. Method of payment
Credit Card                      Visa □        MasterCard □        American Express □        Diners □

Card number ______________________________________________ Expiry date ___________________

Control number (last 3 digits over signature on back side) ________________________________________

Card holder's name ______________________________________________________________________

Billing address __________________________________________________________________________

Signature ______________________________________________________________________________

If paying by credit card, please print this out, fill it, sign and fax to ++385-1-4698-053. Your data is safe.

Bank:  REIFFAISEN BANK AUSTRIA, d.d.
Address:  Petrinjska 59,  10000 Zagreb
In favour of: ATLAS Travel Agency
Account number:  2484008-1500160216
IBAN:  HR72 2484 0081 5001 6021 6
Swift Code:  RZBHHR2X
Reference number:  08-01341-6

Booking and Payment Conditions
•	The payment must accompany this Application Form. Without the payment the registration can not be confirmed.
•	After 31 May, ATLAS can not guarantee hotel availability.
•	ATLAS will send you the confirmation by email, fax or letter.
•	Changes in reservations will be subject to an administration charge of EUR 10,00.
•	Registration cancellations made before 31 May 2008 will merit 50% refund.
•	Registration cancellations made after 31 May 2008 will not merit a refund.
•	Emergency cancellations (e.g. illness, death of a relative or birth of a baby …) can be refund 100% if duly proved.
•	Notice of any cancellation/change must be sent in writing.
•	All hotels expenses must be paid directly. If a confirmed hotel reservation is not canceled at least 48 hours prior to
arrival and you do not show up, your card will be charged as per your booking.

Date:  _________________________ Signature: _______________________________________________________

Please complete and return no later than 31 July 2008
 to ATLAS Travel Agency – by mail or fax – 
E-mail: ranko.filipovic@atlas.hr    Fax: ++385-1-4698-053  

Bank Transfer to: 	                     
In this case, please fax us a copy of the Bank Transfer together with the Registration Form. 
Amount should be net of bank commission!